Spiriva® Respimat Inhaler for COPD and Asthma

Spiriva Respimat Inhaler is a maintenance bronchodilator for COPD and asthma. This page explains how it works, who it is for, and how to use it, with US shipping from Canada for straightforward access even if you pay without insurance.

What Spiriva Is and How It Works

YouDrugstore is a licensed Canadian pharmacy in Manitoba. Pharmacists review prescriptions before dispensing.

Spiriva® Respimat contains tiotropium, a long-acting muscarinic antagonist. It blocks M3 receptors in airway smooth muscle, which helps relax the airways and improve airflow over 24 hours. The medicine is taken regularly as a controller, not for sudden breathing problems. Keep a quick-relief inhaler on hand for acute symptoms.

This inhaler uses a soft mist device to deliver a measured dose. The mist is slow-moving, which may help more medicine reach the lungs with steady inhalation. It can reduce COPD exacerbations and support day-to-day breathing control when used as directed.

Asthma management and COPD control both rely on consistent daily use plus good inhaler technique. If you have technique questions, check the patient leaflet and follow your prescriber’s guidance. For condition background, see our resource on What Is Asthma And How.

Spiriva Respimat inhalation spray is not a rescue treatment. Do not use it to relieve sudden wheezing, chest tightness, or acute bronchospasm.

Who It’s For

This therapy is approved for long-term maintenance treatment of COPD, including chronic bronchitis and emphysema. It is also approved for maintenance treatment of asthma in appropriate age groups per local labeling. It is not for relief of sudden breathing symptoms.

Do not use it if you have had a serious allergy to tiotropium, ipratropium, atropine, or other anticholinergic medicines. Use caution if you have narrow-angle glaucoma, prostate enlargement, or urinary retention. If you are pregnant or breastfeeding, discuss the risks and benefits with your healthcare professional.

Explore related topics: Chronic Obstructive Pulmonary Disease Copd, Emphysema, and the Respiratory category.

Dosage and Usage

Use two inhalations once daily at the same time each day. For COPD, the usual total daily dose aligns with the 2.5 microgram spray option per actuation, two inhalations once daily. For asthma, many patients use the lower spray option per actuation, two inhalations once daily, following local labeling. Always follow your prescription label and the patient instructions supplied with your specific pack.

General device steps:

• Prepare the device: Insert the cartridge fully before first use.
• Prime before first use: Spray until visible mist, then repeat as directed in the leaflet.
• Daily use: Breathe out slowly, seal lips, inhale slowly and deeply while pressing the dose-release button, then hold breath briefly.
• If unused for more than 3 days: Spray once to re-prepare.
• If unused for more than 21 days: Repeat priming per leaflet until mist is visible, then spray three more times.

Do not exceed the prescribed schedule. Do not swallow the solution. If a prescribed rescue inhaler is needed, use it separately as directed by your clinician.

For broader COPD therapy context, see our article on Treatment And Medications For Acute.

Tiotropium Bromide Respimat Inhaler should be taken consistently for best maintenance effect.

Strengths and Forms

This inhalation spray is supplied as the hand-held Respimat device with a cartridge. Common presentations include 1.25 micrograms per actuation and 2.5 micrograms per actuation. Each unit typically provides 60 actuations, shown on a dose indicator. Availability and pack sizes may vary by market and stock.

Missed Dose and Timing

If you miss a dose, take it as soon as you remember on the same day. If it is almost time for your next dose, skip the missed dose and resume your regular schedule. Do not take more than the daily prescribed amount. Try to take it at the same time each day to build a routine.

Storage and Travel Basics

Store the inhaler at room temperature and keep the cap closed when not in use. Avoid extreme heat, freezing temperatures, and direct sunlight. Once the cartridge is inserted, many packs are discarded after a set period noted in the leaflet, or when the dose indicator reaches zero.

Keep out of reach of children and pets. When traveling, carry the inhaler in your hand luggage with your prescription label. Use a protective case to avoid damage or accidental actuation. If you use a spacer for other inhalers, keep all items together and bring written instructions if needed for security screening.

Benefits

This long-acting bronchodilator helps maintain open airways across the day. Once-daily use simplifies routines for many patients. The soft mist device provides a slow-moving cloud that some find easier to coordinate. Regular use can reduce COPD flare-ups and support steady symptom control for chronic disease management.

Side Effects and Safety

• Dry mouth
• Sore throat or hoarse voice
• Cough or upper respiratory irritation
• Sinus discomfort or headache
• Constipation

Serious reactions are uncommon but can include immediate hypersensitivity, paradoxical bronchospasm, or new/worsened narrow-angle glaucoma if the spray enters the eyes. Urinary retention may occur, especially in susceptible patients. Seek urgent care for swelling of the face, rash, or breathing difficulty after use. Increased blood glucose is not typical for this class, but always report unexpected changes to your clinician.

If you also take a short-acting rescue medicine, monitor for overlapping side effects. For those using insulin or sulfonylureas for diabetes, the hypoglycemia risk is from those agents, not this therapy, but coordination of care is important.

Drug Interactions and Cautions

Using other anticholinergics (such as ipratropium) at the same time may increase side effects like dry mouth, constipation, or urinary retention. Tell your prescriber about all inhalers and oral medicines you use. Severe kidney impairment may increase exposure to tiotropium; your clinician will assess suitability. Avoid spraying into the eyes to prevent blurred vision or eye pain, particularly if you have glaucoma.

What to Expect Over Time

Symptom control builds with consistent daily use. Many people notice easier breathing during usual activities after regular use, while some need longer to judge benefit. Keep your rescue inhaler accessible for sudden symptoms. If you feel no improvement after steady use, or if exacerbations persist, speak with your healthcare professional about your plan.

Compare With Alternatives

Some patients may need a different maintenance option or an add-on medicine. Two common alternatives include a combination inhaler containing a short-acting anticholinergic and a beta-agonist, such as Combivent® Respimat, or a once-daily triple therapy that combines an inhaled corticosteroid, a long-acting muscarinic antagonist, and a long-acting beta-agonist, such as Trelegy® Ellipta. The right choice depends on your diagnosis, symptoms, and prescriber guidance.

Pricing and Access

We provide Canadian-sourced options with US delivery from Canada to help reduce out-of-pocket spending. See current availability and compare options before checkout. You can review Respiratory choices, then confirm your prescription and quantity.

Spiriva Respimat Canadian pricing may offer value compared to typical local rates. Our checkout shows total costs before you place your order. If you are cash-pay, you can still submit receipts to your plan if it allows reimbursements.

Availability and Substitutions

Stock can vary. If your preferred pack is unavailable, your prescriber may recommend a suitable alternative in the same class or a different controller. Generic Tiotropium Respimat Inhaler may be available in some regions; product selection depends on your prescription and our current inventory. Prescription required and verified.

Patient Suitability and Cost-Saving Tips

This treatment suits many adults with COPD and selected patients with asthma per label. It is not for acute bronchospasm. Those with severe glaucoma, urinary retention, or prior hypersensitivity should avoid it. If you are unsure, ask your prescriber to review your conditions and current medicines together.

To save over time, consider multi-month fills if your prescription allows, which can reduce per-shipment fees. Set refill reminders so you do not run out, and align reorders with clinic visits when possible. For budgeting, knowing your Spiriva Respimat cash price in advance helps plan refills. Browse related conditions like Bronchitis to learn more about long-term care.

Questions to Ask Your Clinician

• Is a long-acting muscarinic antagonist appropriate for my diagnosis?
• Which daily dose strength is right for my needs?
• How should I coordinate this with my rescue inhaler?
• What signs suggest I should adjust my action plan?
• Could another controller, such as a LABA/LAMA or ICS/LABA, be better for me?
• How often should we recheck lung function after starting?
• What technique tips can improve delivery with the soft mist inhaler?

Authoritative Sources

Boehringer Ingelheim Product Monograph

FDA DailyMed: Spiriva Respimat

Health Canada Drug Product Database

Order Spiriva Respimat online today with prompt fulfilment that Ships from Canada to US, plus temperature-controlled handling when required. Always follow your prescription and the official patient leaflet.